Care Coordinator Assistant

The Care Coordinator Assistant supports patient care by combining clinical medical assistant skills with care‑coordination responsibilities. This role ensures patients receive preventative care, timely follow‑up, chronic disease support, referrals, education, and navigation through the healthcare system. The assistant works closely with providers, nurses, and administrative staff to improve patient outcomes and enhance the overall care experience.

We are located at 1065 Bucks Lake Road, Quincy, CA 95971

This position will require travel to Greenville and working on the Mobile Clinic. 

Full Time, benefited

Required:

• 2 years’ experience in some type of health or social related care professions such as; working in a health clinic with a role supporting and interacting with patients, hospital or public health role supporting patient care, social services, etc.

Preferred:

• Strongly preferred: 3-5 years’ experience in primary care, care coordination, or chronic disease management

Required:

• Current certification as an Medical Assistant or Nursing Assistant from an accredited program or
• If uncertified, you must be willing to obtain an accredited Medical Assistant certification within 2 years of hire.
• Current CPR Certification.

Preferred:

• Current MA certification (CMA, RMA, CCMA, or equivalent) or CNA certification.

• Strong communication, and interpersonal relationship skills.
• Proficiency with EHR systems and care‑management workflows.
• Team player that can follow standard work to achieve a common goal.
• Ability to organize and triage workload

• Perform routine rooming duties including vital signs, rooming patients, medication reconciliation, and documentation in the EHR.
• Assist providers with procedures, point‑of‑care testing, immunizations, and specimen collection.
• Maintain exam room cleanliness, supply inventory, and equipment readiness.

• Serve as the primary point of contact for patients needing follow‑up care, chronic disease management, or care navigation.
• Track and close care gaps (labs, imaging, preventive screenings, referrals).
• Coordinate referrals, obtain prior authorizations, and communicate with external specialists.
• Monitor patient panels for high‑risk or chronic conditions (e.g., diabetes, hypertension, behavioral health).
• Conduct outreach calls to support care plans, medication adherence, and appointment reminders.
• Assist with transitions of care, including hospital or (jail) discharge follow‑up and scheduling.
• Coordinate warm handoffs to behavioral health providers.
• Arrange patient transportation, ordering durable medical equipment (DME).

• Provide evidence‑based education on chronic conditions, preventive care, and treatment plans.
• Support patients in understanding instructions, accessing community resources, and overcoming barriers to care.
• Facilitate enrollment in chronic care management (CCM), enhanced care management (ECM), remote patient monitoring (RPM), or other care programs when applicable.
• Supporting patients with resources for completing forms and applications for services.

• Act as a point of contact to coordinate messages between providers, insurance companies, patient and the primary care coordinator.
• Document all patient interactions, outreach, and care‑coordination activities in the EHR.
• Communicate effectively with providers regarding patient needs, abnormal results, and care plan updates.
• Participate in team huddles, quality improvement initiatives, and population health projects.

• Patient‑centered communication
• Clinical accuracy and attention to detail
• Ability to multitask and manage a patient panel
• Empathy, professionalism, and teamwork
• Understanding of chronic disease processes and preventive care
• Comfort with outreach, follow‑up calls, and patient engagement

• Track monthly CCM touches and document billable interactions.
• Support care plan development and updates.

• Track monthly ECM touches and document billable interactions.
• Support care plan development and updates.

• Assist with patient outreach and community outreach campaigns
• Identification and tracking of quality prevention metrics.

• Assist patients with transportation, financial assistance, and community resource referrals, supports the identified social determinants of health (SDOH) needs.
• Provide additional navigation for specialty access, referral to patient financial services for insurance enrollment and issues.

Other duties as assigned.

Work in a setting with rugged canyons, crystal clear lakes, grassy meadows, trout-filled streams, fresh pine forests, and brilliant star-filled skies. This is your chance to provide compassionate care with exceptional customer service at Plumas District Hospital. With a diverse population with people from all walks of life, PDH team members provide the residents of Quincy and the surrounding area with essential health care services that are vital to this small mountain community. PDH is located in Quincy, California which is the largest community in Plumas County and has a population of 5,000 residents. Quincy is nestled against the Western slope of the Sierra Nevada mountain range and tucked in at the edge of the lush American Valley. Chico, California is 80 miles west and Reno, Nevada is 80 miles east of Quincy. Join a medical team that puts community first. Click this link https://www.pdh.org/ to learn more about PDH providers, services, and surrounding community today!

Recruiter Name/Email:

Nicholas Clawson

Department Phone:

530-283-7169